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5 Written questions

5 Matching questions

  1. Ginger (Zingiber officinale) Side Effects
  2. Ginseng (American or Asian (Panax) ginseng)
  3. Licorice root extract
  4. Kava (Piper methysticum)
  5. Garlic (Allium sativum)
  1. a CNS depression and arrhythmia at toxic doses
    Anti-platelet effects may increase bleeding (might want to stop taking it 2 weeks prior to dental procedure)
    -Generally safe
  2. b anxiety, improve sleep
    (Don't mix with things that will cause CNS depression)
  3. c Reduce cholesterol, triglycerides, blood pressure and inhibit platelet aggregation
  4. d May reduce growth of canker sores
  5. e Increasing stamina, regulating glucose, aphrodisiac

5 Multiple choice questions

  1. Gel is used topically in treatment of burns and wounds.

    There have been some work done using these as a mouth rinse. Be careful not to swallow, however, because it has a strong laxative effect
  2. Available without a prescription
    Self-diagnosis and self-prescribing (control over disease + treatment)
    Perceived to have fewer side effects, no lethal effects
    Lack of health insurance
    Cultural influences
    Other options have not worked
    Strong advertising - enhanced immune function, easy weight loss, etc.
    Perceived as "natural, safer, and healthier"
  3. Headache, muscle weakness, water retention, electrolyte imbalance, arrhythmias, heart failure

    Limit use to no more than 6 weeks.
  4. GI upset, headache
  5. -Periodontitis: weak evidence
    -Eczema: modest benefits
    -Cardiovascular: limited data appears supportive
    -PMS: no likely effect
    -Menopause: no effect
    -Peripheral Neuropathy: benefited patients with well-controlled diabetes

5 True/False questions

  1. Popular Herbal RemediesSt. John's Wort
    Black Cohosh


  2. Glucosamine sulfate Side Effectsosteoarthritis, often in combo with chrondroitin


  3. Echinacea (purpura, angustifolia) Side EffectsHypersensitivity especially in people with severe allergies or allergic to daisies, including ragweed. Do not use in patients taking immunosuppressants or with auto-immune dx, HIV, TB


  4. Ginseng (American or Asian (Panax) ginseng) Side Effectspotential effects on coagulation, do not use in patients taking anti-coagulants, MAO-Is, antipsychotics and hypoglycemics. Not recommended in pregnancy. Risk of serotonin syndrome.

    Discontinue 7 days before general anesthesia


  5. St John's Wort (Hypericum perforatum)topically: photosensitivity; oral: can cause mania in patients with bipolar disorder, exacerbate psychosis in schizophrenia, serotonin syndrome in combination with SSRIs; oral: may have MAO-I activity, so avoid tyramine-containing foods (processed meat, red wine, aged cheese, avocados, soy)


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